Individual
DR. MALAK ITANI
Active
Individual
DR. MALAK ITANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
2017043456
MO
2085B0100X
Body Imaging Physician
Primary
2017043456
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200051946
—
MO
Enumeration date
05/24/2013
Last updated
04/17/2025
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